MARK GRIFFITH (NPI# 1619007440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619007440 |
Entity Type | Individual |
Full Name | MARK GRIFFITH |
Credential | PA |
Practice Address |
1720a Medical Park Dr Suite 340 Biloxi MS 39532-2129 |
Practice Telephone | 2283927429 |
Practice Fax Number | 2283963830 |
Mailing Telephone | 2283927429 |
Mailing Fax Number | 2283963830 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00088 | MS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710912399 | Mark Nutter Griffith | Internal Medicine | 1000 Mon Health Medical Park Dr Ste 1102, Morgantown, WV 26505 | 2006-07-11 |
1477575769 | Mark D. Griffith | Physical Medicine & Rehabilitation | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-24 |
1396787354 | Mark William Griffith | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-12 |
Street Address |
1720A MEDICAL PARK DR SUITE 340 |
City | BILOXI |
State | MS |
Zip Code | 39532-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689678674 | Jack W Brand Jr. | Internal Medicine | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2005-06-08 |
1407304801 | Rachael Hines | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-09-14 |
1144776386 | Alisha Farrish | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-08-28 |
1942691415 | Gai Truong | Pharmacist | 1720a Medical Park Dr, Suite 160, Biloxi, MS 39532-2129 | 2015-02-05 |
1679961270 | Duc Vinh Nguyen | Nurse Practitioner | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2015-01-05 |
1891119715 | Deborah Thompson-spencer | Nurse Practitioner | 1720a Medical Park Dr, Biloxi, MS 39532-2129 | 2014-02-12 |
1275893273 | Ashley Mcshurley | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2012-05-23 |
1215225636 | Aesthetic Surgery Center Ltd | Plastic Surgery | 1720a Medical Park Dr, Suite 140, Biloxi, MS 39532-2129 | 2011-07-19 |
1598067340 | Jan Van Truong | Chiropractor | 1720a Medical Park Dr, 160b, Biloxi, MS 39532-2129 | 2010-11-30 |
1558693192 | Hebe Diaz M.d. Pllc | Clinic/Center | 1720a Medical Park Dr, Suite 130c, Biloxi, MS 39532-2129 | 2010-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
Find all providers in zip 39532 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851421192 | Angela Marie Dauro | Physician Assistant | 147 Reynoir St Ste 200, Biloxi, MS 39530-4121 | 2007-03-06 |
1790089969 | Jennifer Michelle Thomas | Physician Assistant | 301 Fisher St, Biloxi, MS 39534-2508 | 2011-01-03 |
1972521144 | Murl D Dotson | Physician Assistant | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-17 |
1548240336 | Sherri Taylor Hodges | Physician Assistant | 301 Fisher St, Biloxi, MS 39534-2508 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
1962804211 | Miranda Street Sudduth | Physician Assistant | 1607 Doctors Drive, Madison, MS 39110 | 2014-09-18 |
1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
1710316880 | Vani Naraharisetty | Physician Assistant | 101 Asbury Circle, Hattiesburg, MS 39402-1150 | 2013-11-08 |
1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
1083878243 | Garrett Miller | Physician Assistant | 81 Mdg (aetc), 301 Fisher St, Keelser Afb, MS 39534 | 2008-07-16 |
1891979597 | Franklin Mcgrew | Physician Assistant | 22689 Highway 63 North, Leakesville, MS 39451 | 2007-12-18 |
1952441941 | Donald E Stanford | Physician Assistant | 142 County Road 1548, Saltillo, MS 38866-9006 | 2007-02-07 |
1144301458 | Ashley J Larsen | Physician Assistant | 2a Doctors Dr, Ocean Springs, MS 39564-5721 | 2006-10-17 |
1013966969 | Angelle P Lowery | Physician Assistant | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-05-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.